MATTHEW ERIC MILAM (MD) – Diagnostic Radiology Physician, NPI 1407482409

MATTHEW ERIC MILAM (MD) is a healthcare provider. based in Boston, Massachusetts. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 70100 (MN). The NPI Number for MATTHEW ERIC MILAM (MD) is 1407482409

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
MATTHEW ERIC MILAM (MD)
NPI
1407482409
Phone
(617) 726-2000
Address
55 Fruit St
Enumeration Date
21 March 2020
Last Update Date
1 April 2026

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Secondary Phone
2104550167
Graduation Year
2020 (6 years ago)
PAC ID
9739599424
Group Practice PAC ID
3173505088
Professional Enrollment ID
I20210913003442
Address ID
MN559064264RO514XXNEXX400

Contacts

Secure Messaging
mmilam1425063@ehrdirect.mayoclinicmsg.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness95
Years active:6State licenses:1Other names

1,897 DIAGNOSTIC RADIOLOGY in MA

Provider Addresses for MATTHEW ERIC MILAM (MD)

  • 55 Fruit St

    Boston, MA 021142621

    Phone: (617) 726-2000

    Type: Location

  • 15606 CLOUD TOP

    SAN ANTONIO, TX 782481349

    Phone: (210) 602-0057

    Type: Mailing

  • 55 FRUIT ST

    BOSTON, MA 021142621

    Phone: (617) 726-2000

    Type: Location

  • 200 1ST ST SW

    ROCHESTER, MN 559050001

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-09-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210913003442IDiagnostic RadiologyMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02114)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3173505088View full group profile
NameSpecialtyState
Diagnostic RadiologyTX
Diagnostic RadiologyTX
Diagnostic RadiologyCA
Diagnostic RadiologyTX
Diagnostic RadiologyTX
-TX
Diagnostic RadiologyTX
Diagnostic RadiologyTX
Diagnostic RadiologyTX
Diagnostic RadiologyTX

Reviews

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Frequently asked questions

What is MATTHEW ERIC MILAM (MD)'s NPI number?
MATTHEW ERIC MILAM (MD)'s NPI is 1407482409 — the number used across U.S. healthcare to identify this provider.
Is there an active status for MATTHEW ERIC MILAM (MD)?
For scheduling context, MATTHEW ERIC MILAM (MD) is shown as active in the registry.
How would a patient describe MATTHEW ERIC MILAM (MD)'s focus?
For MATTHEW ERIC MILAM (MD), the primary taxonomy reads as Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with MATTHEW ERIC MILAM (MD)?
Directory geography for MATTHEW ERIC MILAM (MD) centers on Boston, Massachusetts.
Does MATTHEW ERIC MILAM (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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